HomeMy WebLinkAbout53025-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53025 Date: 05/27/2026
Permission is hereby granted to:
Joseph M Sedotto
735 Reeve Ave
Mattituck, NY 11952
To:
legalize an "as built"AC unit as applied for.
Premises Located at:
735 Reeve Ave, Mattituck, NY 11952
SCTM# 114.-9-11
Pursuant to application dated 05/20/2026 and approved by the Building Inspector.
To expire on 05/26/2028.
Contractors:
Required Inspections:
ELECTRICAL-ROUGH, PLUMBING , ELECTRICAL- FINAL, FINAL,
Fees:
As Built HVAC $500.00
CO-RESIDENTIAL $100.00
Total 600.00
Building Inspector
� TOWN ) ( LTTI3 CAL --BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road.P. 0. Box 1179 Southold, NY 11971-0959
' Telephone 631 765-1802 fax (631) 765--9502 �htt " �
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Date Received
APPLICATION FAR BUILDING
PERMIT q-q
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For Office Use Only M
,
PERMIT NO., ' Building Inspector
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Applications and forms mint be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,are
Owner's Authorization form(Page t)shall be completed.
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Date: + 4fo
O NER(S)OF PROPERTYS
Name: o SCTM # 1000
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Project Address:
Email: L�-.
Phone
Mailing Address:
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CONTACT PERSON:
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Name: :::::41
Mailing Address:
Ph
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Email:
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DESIGN PROFESSIONAL INFORMATION:
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Name:
Mailing Address:
Phone# Email:
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CONTRACTOR INFORMATION:
Name: �.-
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Mailing AddressCo 9.
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Phone#: Email1
DESCRIPTION OF PROPOSED CONSTRUCTION
cture ❑Addition ' lte�ration 7111epair ❑Demolition Estimated Cost of Project:
❑New Stru �� r � �
❑Other
$ O
1N the lot be re-graded? F lYes , Will excess fill be removed from premises? ❑Yes No
the
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PROPERTY INFORMATION
Existing use of property: Pie 30��� Intended use of property:
Zone or use district in which premises is situated-, Are there any covenants and restrictions with respect to
this property? F�Yes>61 o IF YES,, PROVIDE A COPY,
............
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold.,Suffolk,County,,New York and other applicable Laws,.Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized Inspectors on premises and in building(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): ❑F r-lAuthorized Agent Wowner
SE, b, M
Signature of Applicant: Dat 8bbNN1E D.BUNCH
PubliO,State of New York
Notary
No.0 1 BU61 85,050,
STATE OF NEW YORK) Qualified In Suffolk County
SS: Cow lion
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Expires April 14.2 L)W
COUNTY OF
being duly sworn deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(Contractor, Agent., Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
f
ay o f 20
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Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
-do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
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'S FOR DESCRIBED PARCEL E ENDED TO DEED LlBER 8509 PAGE 06.
RES (WALKS, PATIOS, DRIVEWAYS, etc.) 1F ANY ARE NOT SHOWN -�
--OVER AT DATE OF SURVEY. � � ��
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